Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.95 / $3,593.87 / $10,196.70	Facility		$589.95	$3,593.87	$10,196.70
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,231.29 / $3,412.56 / $7,189.50	Facility	50	$1,231.29	$3,412.56	$7,189.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.98 / $1,185.90 / $2,336.85	Professional		$290.98	$1,185.90	$2,336.85
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,619.45 / $2,332.66 / $6,015.33	Professional	50	$1,619.45	$2,332.66	$6,015.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.59 / $329.30 / $1,171.54	Professional		$190.59	$329.30	$1,171.54
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $192.95 / $297.10 / $466.07	Professional	50	$192.95	$297.10	$466.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $298.36 / $314.06 / $500.98	Facility		$298.36	$314.06	$500.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.39 / $944.80 / $2,661.63	Professional		$315.39	$944.80	$2,661.63
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $50.91 / $54.30 / $58.72	Facility		$50.91	$54.30	$58.72
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $348.81 / $881.81 / $1,830.41	Professional		$348.81	$881.81	$1,830.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $871.44 / $1,375.63 / $2,256.75	Professional		$871.44	$1,375.63	$2,256.75
United Facility/Professional Facility Modifier Low / Median / High Price $351.00 / $1,916.00 / $4,970.00	Facility		$351.00	$1,916.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,184.95 / $1,879.21 / $3,230.27	Professional		$1,184.95	$1,879.21	$3,230.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $222.39 / $1,033.81 / $1,033.81	Professional		$222.39	$1,033.81	$1,033.81